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NPI Code Detail

MEDICARE: ANNA DOYEL ATC

MEDICARE: ANNA DOYEL ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAT.0001714CO

General Provider Information

NPI Number : 1679089825
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA DOYEL ATC
Provider Business Mailing Address
First Line : 5859 BIG PAW HTS
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3776
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1420 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3733
Country : US
Telephone Number : 870-404-2824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2017
Last Update Date : 12/26/2017

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Directions to “ ANNA DOYEL ATC” Practice Location

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